Method and system for managing a healthcare network

• US 20030236682A1
• Filed: 05/19/2003
• Published: 12/25/2003
• Est. Priority Date: 11/08/1999
• Status: Abandoned Application

• Current Assignee: Independent Physicians Network Incorporated
• Original Assignee: Independent Physicians Network Incorporated
• Inventors: Heyer, Charlette L.
• Application Number:
  US10/440,853
• Publication Number:
  US 20030236682A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 70/00 ICT specially adapted for the handling or processing of medical references

Abstract

A method for managing a healthcare network comprising providing a relational database for provider data, verification data, facility data, updated provided data, updated verification data, and updated facility data. Automated notification is provided when it is time to up-date the provider data, verification data, facility data, and whether it has been done. Providers, network monitors, and facilities are so notified. The data is provided through a telecommunication, internet; or other electronic session, and compared relative to one or more objective standards. The objective standards are provided via one or more electronic forms stored within the database. These electronic forms also facilitate data capture by healthcare providers and healthcare facilities, and can be pre-populated with information from the database. Mobile computer devices capture information at the facilities, which is then downloaded into the database. The method can be implemented as a computer-readable storage medium or as computer executable code stored thereon.

Claims

1. A method for managing a healthcare network, comprising:

(a) providing a relational database for provider data, verification data, and facility data;

(b) storing said provider data for one or more providers within said database;

(c) updating said provider data to provide updated provided data within said database;

(d) storing said verification data for said one or more providers within said database;

(e) updating said verification data to provide updated verification data within said database;

(f) storing said facility data for one or more facilities within said database; and

(g) updating said facility data to provide updated facility data within said database.

2. The method of claim 1 wherein one or more of the following is provided through a telecommunication, internet, or other electronic session:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

3. The method of claim 1 further including accessing one or more of the following within the database in response to a request thereregarding:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

4. The method of claim 1 further including generating one or more reports for one or more of the following from the database in response to a request thereregarding:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

5. The method of claim 1 further including comparing one or more of the following relative to one or more objective standards thereof:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

6. The method of claim 5 wherein at least one of said one or more objective standards is provided from said database.

7. The method of claim 1 further including exceeding one or more objective standards of one or more of the following:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

8. The method of claim 7 wherein at least one of said one or more objective standards is provided from said database.

9. The method of claim 1 further including scoring one or more of the following relative to one or more objective standards thereof:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

10. The method of claim 9 wherein at least one of said one or more objective standards is provided from said database.

11. The method of claim 9 further including automated notification to one or more parties based on said scoring.

12. The method of claim 1 further including pass-fail scoring one or more of the following relative to one or more objective standards thereof:

said provider data, said updated provider data, said verification data, said updated verification data, said facility data, and said updated facility data.

13. The method of claim 12 wherein at least one of said one or more objective standards is provided from said database.

14. The method of claim 12 further including automated notification to one or more parties based on said pass-fail scoring.

15. The method of claim 1 wherein updating said provider data includes automated notification when at least a portion of said provider data needs to be updated.

16. The method of claim 1 wherein updating said provider data includes automated notification to at least one of said one or more providers when at least a portion of said provider data needs to be updated.

17. The method of claim 1 wherein updating said provider data includes automated notification to a network monitor when at least a portion of said provider data needs to be updated.

18. The method of claim 1 wherein updating said provider data includes automated notification whether at least a portion of said provider data has been updated.

19. The method of claim 1 wherein updating said provider data includes automated notification to at least one of said one or more providers whether at least a portion of said provider data has been updated.

20. The method of claim 1 wherein updating said provider data includes automated notification to a network monitor whether at least a portion of said provider data has been updated.

21. The method of claim 1 wherein updating said provider data includes:

(1) providing one or more electronic forms from said database to said one or more providers for use during a provider update session; and

(2) uploading said updated provider data into said database, said updated provider data gathered according to at least one of said one or more electronic forms during said provider update session.

22. The method of claim 21 wherein providing one or more electronic forms includes pre-completing at least a portion of at least one of said one or more electronic forms with data from said database.

23. The method of claim 1 wherein storing said provider data occurs when at least one of said one or more providers originally affiliate with a healthcare network.

24. The method of claim 1 wherein updating said provider data occurs when at least one of said one or more providers re-credential with a healthcare network.

25. The method of claim 1 wherein storing said provider data occurs when at least one of said one or more providers originally affiliate with a healthcare network and wherein updating said provider data occurs when at least one of said one or more providers re-credential with said healthcare network.

26. The method of claim 1 wherein updating said provider data includes providing an access identifier and password to at least one of said one or more providers for use during a provider update session.

27. The method of claim 26 wherein providing said access identifier and password to at least one of said one or more providers includes automated notification thereof to said one or more providers.

28. The method of claim 1 wherein updating said provider data includes prompting at least one of said one or more providers during a provider update session to correct provider data with said database.

29. The method of claim 1 wherein updating said verification data includes automated notification when at least a portion of said verification data needs to be updated.

30. The method of claim 1 wherein updating said verification data includes automated notification to at least one of one or more external sources when at least a portion of said verification data needs to be updated.

31. The method of claim 1 wherein updating said verification data includes automated notification to a network monitor when at least a portion of said verification data needs to be updated.

32. The method of claim 1 wherein updating said verification data includes automated notification whether at least a portion of said verification data has been updated.

33. The method of claim 1 wherein updating said verification data includes automated notification to at least one of one or more external sources whether at least a portion of said verification data has been updated.

34. The method of claim 1 wherein updating said verification data includes automated notification to a network monitor whether at least a portion of said verification data has been updated.

35. The method of claim 1 wherein updating said verification data includes:

(1) providing one or more electronic forms from said database to at least one of one or more external sources for use during a verification update session; and

(2) uploading said updated verification data into said database, said updated verification data gathered according to said one or more electronic forms during said verification update session.

36. The method of claim 35 wherein providing one or more electronic forms includes pre-completing at least a portion of at least one of said one or more electronic forms with data from said database.

37. The method of claim 1 wherein storing said verification data occurs when at least one of said one or more providers originally affiliate with a healthcare network.

38. The method of claim 1 wherein updating said verification data occurs when at least one of said one or more providers re-credential with a healthcare network.

39. The method of claim 1 wherein storing said verification data occurs when at least one of said one or more providers originally affiliate with a healthcare network and wherein updating said verification data occurs when at least one of said one or more providers re-credential with said healthcare network.

40. The method of claim 1 wherein updating said facility data includes automated notification when at least a portion of said facility data needs to be updated.

41. The method of claim 1 wherein updating said facility data includes automated notification to a network monitor when at least a portion of said facility data needs to be updated.

42. The method of claim 1 wherein updating said facility data includes automated notification whether at least a portion of said facility data has been updated.

43. The method of claim 1 wherein updating said facility data includes automated notification to a network monitor whether at least a portion of said facility data has been updated.

44. The method of claim 1 wherein updating said facility data includes:

(1) downloading one or more electronic forms from said database onto a mobile computing device for use during a facility update session at said one or more facilities, and

(2) storing said updated facility data onto said mobile computer device, said updated facility data gathered according to at least one of said one or more electronic forms during said facility update session.

45. The method of claim 44 wherein storing said updated facility data includes storing one or more objective responses to one or more automated requests thereregarding.

46. The method of claim 44 further including uploading said updated facility data from said mobile computing device into said database.

47. The method of claim 44 wherein downloading one or more electronic forms includes pre-completing at least a portion at least one of said one or more electronic forms with data from said database.

48. The method of claim 44 wherein at least one of said one or more electronic forms includes an electronic form selected from a group consisting of:

facility review form and patient record review form.

49. The method of claim 1 wherein storing said facility data occurs when at least one of said one or more facilities originally affiliate with a healthcare network.

50. The method of claim 1 wherein updating said facility data occurs when at least one of said one or more facilities re-affiliate with a healthcare network.

51. The method of claim 1 wherein storing said facility data occurs when at least one of said one or more facilities originally affiliate with a healthcare network and wherein updating said facility data occurs when at least one of said one or more facilities re-affiliate with said healthcare network.

52. A method for managing a healthcare network, comprising:

(a) providing a relational database for provider data, verification data, and facility data;

(b) receiving provider data for one or more providers;

(c) storing said provider data within said database;

(d) receiving updated provider data for said one or more providers;

(e) storing said updated provider data within said database;

(f) receiving verification data for said one or more providers;

(g) storing said verification data within said database;

(h) receiving updated verification data for said one or more providers;

(i) storing said updated verification data within said database;

(j) receiving facility data for one or more facilities;

(k) storing said facility data within said database;

(l) receiving updated facility data for said one or more facilities; and

(m) storing said updated facility data within said database.

53. A method for managing a healthcare network, comprising:

(a) providing a relational database for provider data, verification data, and facility data;

(b) receiving provider data for one or more providers, said provider data received from said one or more providers;

(c) storing said provider data within said database;

(d) receiving updated provider data for said one or more providers, said updated provider data received from said one or more providers;

(e) storing said updated provider data within said database;

(f) receiving verification data for said one or more providers, said verification data received from one or more external sources;

(g) storing said verification data within said database;

(h) receiving updated verification data for said one or more providers, said updated verification data received from said one or more external sources;

(i) storing said updated verification data within said database;

(j) receiving facility data for one or more facilities, said facility data received from one or more facilities;

(k) storing said facility data within said database;

(l) receiving updated facility data for said one or more facilities, said updated facility data received from said one or more facilities; and

(m) storing said updated facility data within said database.

54. A method for managing a healthcare network, comprising:

(a) providing a relational database for provider data, verification data, and facility data;

(b) receiving provider data for one or more providers, said provider data received from said one or more providers according to one or more electronic forms;

(c) storing said provider data within said database;

(d) receiving updated provider data for said one or more providers, said updated provider data received from said one or more providers according to one or more electronic forms;

(e) storing said updated provider data within said database;

(f) receiving verification data for said one or more providers, said verification data received from one or more external sources according to one or more electronic forms;

(g) storing said verification data within said database;

(h) receiving updated verification data for said one or more providers, said updated verification data received from said one or more external sources according to one or more electronic forms;

(i) storing said updated verification data within said database;

(j) receiving facility data for one or more facilities, said facility data received from one or more facilities according to one or more electronic forms;

(k) storing said facility data within said database;

(l) receiving updated facility data for said one or more facilities, said updated facility data received from said one or more facilities according to one or more electronic forms; and

(m) storing said updated facility data within said database.

55. A computer-readable storage medium containing computer executable code for instructing a computer system to operate as follows:

(a) provide a relational database for provider data, verification data, and facility data;

(b) store said provider data for one or more providers within said database;

(c) update said provider data to provide updated provided data within said database;

(d) store said verification data for said one or more providers within said database;

(e) update said verification data to provide updated verification data within said database;

(f) store said facility data for one or more facilities within said database; and

(g) update said facility data to provide updated facility data within said database.

56. Computer executable code stored on a computer-readable medium, said code for managing a healthcare network, comprising:

(a) code for providing a relational database for provider data, verification data, and facility data;

(b) code for storing said provider data for one or more providers within said database;

(c) code for updating said provider data to provide updated provided data within said database;

(d) code for storing said verification data for said one or more providers within said database;

(e) code for updating said verification data to provide updated verification data within said database;

(f) code for storing said facility data for one or more facilities within said database; and

(g) code for updating said facility data to provide updated facility data within said database.